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STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
-7
�/C,� �� � � � 'J
DOC TYPE
❑FINAL PERMIT
MONITORING REPORTS
O APPLICATION
❑ COMPLIANCE
❑ OTHER
� � � LI V
DOC DATE
❑
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
RECE1%!/'1 r- MONITORING REPORT
Permit Number NCS000087 DEC 0 B 2019 SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(This monitoring report shall be received by the Division no later than 30 days from
CE N 1-I",L F" E3 the date the facility receives the sampling results from the laboratory.)
DWR SECCTIO:"
FACILITY NAME Pentair Pool Products Inc.
PERSON COLLECTING SAMPLE(S) Steven Gerrald & Keara Klinge (Leaf)
CERTIFIED LABORATORY(S) ENCO Laboratories Lab # NC591
Leaf Environmental & Enzineerina. P.C. Lab # NC5139
Part A: Specific Monitoring Requirements
COUNTY Lee
PHONE NO. (919) 566-8602
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
00400
00530
Total
Flow if a
Total
Rainfall
pH
TSS
mo/dd/yr
MG
inches
s.u.
m /L
A
10/30/2019
NA
0.07
6.6
31
B
10/30/2019
NA
0.07
6.6
41
C
10/30/2019
NA
0.07
6.7
120
D
10/30/2019
NA
0.07
6.6
7.5
Does this facility perform Vehicle Maintenance Activities using more than. 55 gallons of new motor oil per montb? X yes _no
(if yes, complete Part B)
Part B. Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date
50050
00556
00530
00400
Total Flow
Total
Oil & Grease
Non -polar
Total
pH
New Motor
No.
Sample
Collected
(if applicable)
Rainfall
(if appl.)
O&G/TPH
Suspended
Oil Usage
(Method 1664
Solids
SGT-HEIM), if
appl.
mo/dd/yr
MG
inches
m /l
mg/1
unit
-al/mo
A
10/30/2019
NA
0.07
¢ 1.50
31
6.6
460
C
10/30/2019
NA
0.07
1.88
120
6.7
460
D
10/30/2019
NA
0.07
< 1.50
7.5
6.6
460
Form SWU-247, last revised 21212012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 10/30/2019
Total Event .Precipitation (inches): 0.07
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
Mail Original and one copy to:
Division of Rater Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-16I7
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person .
or persons who manage the system. or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of lines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
POSE SIGN
& DATE
Form SWV-247, last revised 21212012
Page 2 of 2